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[Salmonella glenohumeral arthritis]
1EA 4268 innovation, imagerie, ingénierie et intervention en santé « I4S - IFR 133 Inserm », pôle innovation et technique chirurgicale, service d'orthopédie, de traumatologie, de chirurgie plastique, reconstructrice et assistance main, CHU Jean-Minjoz, université de Franche-Comté, boulevard Fleming, Besançon, France. chastelremi@yahoo.fr
Chirurgie De La Main
|November 8, 2011
Summary
This study details the first reported case of Salmonella arthritis affecting the glenohumeral joint in an immunocompetent elderly woman. Prompt treatment including arthroscopy led to a full recovery with no lasting joint damage.
Area of Science:
- Infectious Diseases
- Rheumatology
- Orthopedic Surgery
Background:
- Salmonella infections typically cause gastrointestinal illness, but can lead to septic arthritis.
- Glenohumeral joint involvement is rare, especially in immunocompetent individuals.
Observation:
- An 86-year-old immunocompetent woman presented with Salmonella glenohumeral arthritis without a clear entry point.
- Initial empirical antibiotic therapy was adjusted based on culture results.
Findings:
- Arthroscopy with joint lavage and synovectomy was performed 72 hours after symptom onset due to persistent symptoms.
- The patient achieved resolution of fever within 72 hours and normalization of inflammatory markers within 12 days.
- No clinical sequelae were observed at the 3-month follow-up, with stable osteoarthritis.
Implications:
- This case highlights the possibility of Salmonella septic arthritis in the glenohumeral joint even in immunocompetent patients.
- Early surgical intervention combined with appropriate antibiotic therapy can lead to favorable outcomes.
- Further research may be needed to understand the pathogenesis of non-typhoidal Salmonella in joint infections.
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